| NPI | 1851650782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301110025) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301110025) |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2016-08-20 |